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Organization
KEY BEHAVIOR ESSENTIALS, LLC
Active
Organization
KEY BEHAVIOR ESSENTIALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMESHULAH PROCTOR KEY (COO/ PROGRAM MANAGER)
(919) 801-7268
Entity
Organization
Contact information
Practice address
8300 FALLS OF NEUSE RD STE 108, RALEIGH, NC 27615-3450
(919) 846-6800
(919) 846-6807
Mailing address
8300 FALLS OF NEUSE RD STE 108, RALEIGH, NC 27615-3450
(919) 846-6800
(919) 846-6807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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